WILLOW TREE COUNELING AND EDUATIONAL CENTER LLC NPI 1215357611

NPI Information

NPI: 1215357611
Provider Name: WILLOW TREE COUNELING AND EDUATIONAL CENTER, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
10195 MAIN ST
SUITE N
FAIRFAX, VA
ZIP 22031
Phone: (703) 591-9600
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WILLOW TREE COUNELING AND EDUATIONAL CENTER, LLC is a mental health counselor in Fairfax, VA. WILLOW TREE COUNELING AND EDUATIONAL CENTER, LLC NPI is 1215357611. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10195 MAIN ST
SUITE N
FAIRFAX, VA
ZIP 22031-415
Phone: (703) 591-9600
Fax: (703) 591-9656

The provider's authorized official is Marsha Evans .
The authorized official title is Licensed Profesional Counselor and has the following contact phone number (703) 591-9600.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 4/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0701004932	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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